Title: Enteral Migration of Feeding Jejunostomy tube: Report of a Case
Authors: Deshraj Chawla, Mahesh Kumar Sonwal, Harsh Kumar, Neeraj Kumar Dewanda, Shivcharan Bairwa, Ritu Kumari, Pankaj Jhang
DOI: https://dx.doi.org/10.18535/jmscr/v6i10.22
Abstract
We report a rare complication of the migration of a feeding jejunostomy tube inside the gut. A Stamm type jejunostomy was performed in a patient with an unresectable esophageal cancer using a 16-F ryles tube, at another center. Two months later, she presented because of the “disappearance” of the tube. A clinical examination revealed a mature jejunostomy tract, skin erosion at the site where the suture was placed, and absence of the tube. There were no signs of intestinal obstruction or peritonitis. Plain abdominal X-ray examination showed the tube inside the abdomen.
The patient was treated initially conservatively with serial radiographs which showed no migration of tube for 4 days. Therefore, an exploratory laprotomy was done with removal of old tube with new feeding jejunostomy at previous entrostomy site.
An awareness of this complication and its appropriate treatment is important given the widespread use of feeding jejunostomy tube.
Keywords: Ryles tube, Feeding jejunostomy, Enteral nutrition, Complications, Migration.
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